Acute chest pain — suspected ACS
PLAB 2 & PRES 3 · cardiology · medium · 10 minutes
Candidate brief
You are the F2 in the Emergency Department. Mr John, 58, has walked in with central chest pain that started 45 minutes ago. Please take a focused history, explain your initial management and address any concerns.
What examiners look for
NICE NG185 (acute coronary syndromes) recommends early ECG within 10 minutes, high-sensitivity troponin, and MONA-B only where evidence-based (aspirin + analgesia; avoid routine O2 unless SpO2 <94%).
Guideline references
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